Healthcare Provider Details

I. General information

NPI: 1518778661
Provider Name (Legal Business Name): IMBUE MIND, PLLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 01/17/2025
Last Update Date: 03/23/2026
Certification Date: 03/23/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

9212 E MONTGOMERY AVE STE 401-1
SPOKANE VALLEY WA
99206-4269
US

IV. Provider business mailing address

9212 E MONTGOMERY AVE STE 401-1
SPOKANE VALLEY WA
99206-4269
US

V. Phone/Fax

Practice location:
  • Phone: 509-517-7465
  • Fax: 509-641-4625
Mailing address:
  • Phone: 509-517-7465
  • Fax: 509-641-4625

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code363LP0808X
TaxonomyPsychiatric/Mental Health Nurse Practitioner
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code363LP2300X
TaxonomyPrimary Care Nurse Practitioner
License Number
License Number State

VIII. Authorized Official

Name: DR. ANGELA TANKERSLEY KALEM
Title or Position: NURSE PRACTITIONER
Credential: APRN
Phone: 509-289-2279